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- Title
ACUTE APPENDICITIS DURING PREGNANCY: NO PLACE FOR MAYBE.
- Authors
Negoi, Ionuţ; Păun, Sorin; Hostiuc, Sorin; Moldoveanu, Alin; Beuran, Mircea
- Abstract
Acute appendicitis is the most common abdominal non-obstetrical emergency in pregnant women; its management however is supported by a low level of evidence. The main objective of this study was to evaluate the clinical management of pregnant women with acute appendicitis. We have reviewed the hospital database selecting the pregnant women with acute appendicitis managed in the last 24 months. 8 appendectomies were performed in pregnant women. Mean age was 27.2±6.1 years. All patients had a history of right lower abdominal pain of 36 hours or less. General anesthesia was used in 12.5% of cases and spinal anesthesia in the remaining of cases. In all cases appendectomy was performed through a McBurney's incision with a mean operating time of 36.25 minutes. There was no maternal or fetal mortality. The diagnosis of acute appendicitis is challenging in pregnant women. A prompt, but a non-negative appendectomy should always be aimed, and no unnecessary risks should be taken.
- Subjects
APPENDICITIS; PREGNANT women; ABDOMINAL pain; DISEASE risk factors; HUMAN services
- Publication
Journal of Surgical Sciences, 2015, Vol 2, Issue 4, p159
- ISSN
2360-3038
- Publication type
Article